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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364820123
Report Date: 07/18/2024
Date Signed: 07/24/2024 03:55:05 PM


Document Has Been Signed on 07/24/2024 03:55 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501



FACILITY NAME:GATEWAY ACADEMYFACILITY NUMBER:
364820123
ADMINISTRATOR:STELLA EHINLAIYEFACILITY TYPE:
840
ADDRESS:12818 EAST END AVENUETELEPHONE:
(909) 465-6111
CITY:CHINOSTATE: CAZIP CODE:
91710
CAPACITY:26CENSUS: 17DATE:
07/18/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Stella EhinlaiyeTIME COMPLETED:
12:40 PM
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Licensing Program Analyst (LPA) Rachel Zeron made an unannounced visit to the facility to conduct an investigation on a incident reported to the Duty officer on 07/12/2024. LPA was granted access into the facility and met with the Director Stella Ehinlaiye.

On 07/12/24, Community Care Licensing (CCLD) received a call on the duty line from the Director to l self report an incident that occurred at the center on 07/11/2024. Unusual Incident Report (UIR) was written and received today. The incident involves an alleged violation of children's rights. LPA conducted interviews with pertinent parties and reviewed documentation. Due to insufficient information obtained at this time, further investigation will be needed. LPA will return at a later date to deliver final findings.

Exit interview was conducted with Director, Stella Ehinlaiye and a notice of site visit issued. The Notice of Site must be posted for 30 consecutive days from this date.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951)320-2023
LICENSING EVALUATOR NAME: Rachel ZeronTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:
DATE: 07/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/18/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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